| Mr Thadeus Mandrall Holloway, LPC | |
|
305 W Spring St, Box 172, Mount Vernon, GA 30445-2837 | |
| (912) 423-1000 | |
| (912) 583-0115 |
| Full Name | Mr Thadeus Mandrall Holloway |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 305 W Spring St, Mount Vernon, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245597848 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thadeus Mandrall Holloway, LPC Po Box 172, 305 West Spring Street, Mount Vernon, GA 30445-0172 Ph: (912) 423-1000 | Mr Thadeus Mandrall Holloway, LPC 305 W Spring St, Box 172, Mount Vernon, GA 30445-2837 Ph: (912) 423-1000 |
Paulette Chavers, M.ED, LPC Counselor Medicare: Medicare Enrolled Practice Location: 305 W Spring St, Mount Vernon, GA 30445 Phone: 912-423-0498 | |
Crystal Coney, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 W Robinson Dr, Mount Vernon, GA 30445 Phone: 912-583-0100 Fax: 912-583-0115 | |
Tyhescia White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Post Office Box 172, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 | |
Shonda Lafaye Madison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 N Minnie St, Mount Vernon, GA 30445 Phone: 912-583-2172 | |
Amber Mcarthur, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 |